Nutritional support in early phases of acute pancreatitis: fashionable trend and essential reality
The aim of review. To discuss basic methods of nutritional support in early phases of acute pancreatitis (AP). To show inconsistency of opinions on application of enteric feeding in early phases of AP.Key points. It was demonstrated, that from the pathogenic point of view total parenteral nutrition...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Gastro LLC
2013-07-01
|
| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| Subjects: | |
| Online Access: | https://www.gastro-j.ru/jour/article/view/1199 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823860243872874496 |
|---|---|
| author | Ye. Ye. Achkasov A. V. Pugayev G. V. Dyatchina V. I. Posudnevsky Zh. G. Nabiyeva P. V. Melnikov |
| author_facet | Ye. Ye. Achkasov A. V. Pugayev G. V. Dyatchina V. I. Posudnevsky Zh. G. Nabiyeva P. V. Melnikov |
| author_sort | Ye. Ye. Achkasov |
| collection | DOAJ |
| description | The aim of review. To discuss basic methods of nutritional support in early phases of acute pancreatitis (AP). To show inconsistency of opinions on application of enteric feeding in early phases of AP.Key points. It was demonstrated, that from the pathogenic point of view total parenteral nutrition is most justified in the phase of enzyme toxemia and intermediate phase of AP for 7 to 14 days and more in relation to the initial prognosis of disease severity. To establish a true role of early enteric feeding in AP treatment, it is necessary to continue monitoring of primary attacks, preventing its relapses, and to study effect of different types of enteric feeds on the level of APUD system hormones, that regulate pancreatic secretion.Conclusion. High efficacy of early enteric feeding at various surgical diseases has turned it into fashionable trend with doubtful and unproved efficacy at AP, at absence of the clear pathogenic arguments. Total parenteral nutrition after obligatory intestinal lavage of chyme by cooled saline solution to decrease enteric stimulation of pancreatic secretion in postprandial phase is justified today. |
| format | Article |
| id | doaj-art-ef52b428337642e080f2ecc6d16df15b |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2013-07-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-ef52b428337642e080f2ecc6d16df15b2025-02-10T16:14:32ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732013-07-012331623783Nutritional support in early phases of acute pancreatitis: fashionable trend and essential realityYe. Ye. Achkasov0A. V. Pugayev1G. V. Dyatchina2V. I. Posudnevsky3Zh. G. Nabiyeva4P. V. Melnikov5State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university», Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university», Ministry of Healthcare of the Russian FederationFederal state-funded institution «Federal scientific-clinical center of specialized forms of medical care and medical technologies» Federal Medical-Biological Agency of Russia; State educational government-financed institution of continuing professional education «Institute of postgraduate medical education» Federal Medical-Biological Agency of RussiaState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university», Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university», Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university», Ministry of Healthcare of the Russian FederationThe aim of review. To discuss basic methods of nutritional support in early phases of acute pancreatitis (AP). To show inconsistency of opinions on application of enteric feeding in early phases of AP.Key points. It was demonstrated, that from the pathogenic point of view total parenteral nutrition is most justified in the phase of enzyme toxemia and intermediate phase of AP for 7 to 14 days and more in relation to the initial prognosis of disease severity. To establish a true role of early enteric feeding in AP treatment, it is necessary to continue monitoring of primary attacks, preventing its relapses, and to study effect of different types of enteric feeds on the level of APUD system hormones, that regulate pancreatic secretion.Conclusion. High efficacy of early enteric feeding at various surgical diseases has turned it into fashionable trend with doubtful and unproved efficacy at AP, at absence of the clear pathogenic arguments. Total parenteral nutrition after obligatory intestinal lavage of chyme by cooled saline solution to decrease enteric stimulation of pancreatic secretion in postprandial phase is justified today.https://www.gastro-j.ru/jour/article/view/1199acute pancreatitispancreaspancreatic secretiontotal parenteral nutritionenteric feedingsynthetic dietetic therapyhormonesenzymesapud systempancreatic fistulaintestinal lavagesaline solution |
| spellingShingle | Ye. Ye. Achkasov A. V. Pugayev G. V. Dyatchina V. I. Posudnevsky Zh. G. Nabiyeva P. V. Melnikov Nutritional support in early phases of acute pancreatitis: fashionable trend and essential reality Российский журнал гастроэнтерологии, гепатологии, колопроктологии acute pancreatitis pancreas pancreatic secretion total parenteral nutrition enteric feeding synthetic dietetic therapy hormones enzymes apud system pancreatic fistula intestinal lavage saline solution |
| title | Nutritional support in early phases of acute pancreatitis: fashionable trend and essential reality |
| title_full | Nutritional support in early phases of acute pancreatitis: fashionable trend and essential reality |
| title_fullStr | Nutritional support in early phases of acute pancreatitis: fashionable trend and essential reality |
| title_full_unstemmed | Nutritional support in early phases of acute pancreatitis: fashionable trend and essential reality |
| title_short | Nutritional support in early phases of acute pancreatitis: fashionable trend and essential reality |
| title_sort | nutritional support in early phases of acute pancreatitis fashionable trend and essential reality |
| topic | acute pancreatitis pancreas pancreatic secretion total parenteral nutrition enteric feeding synthetic dietetic therapy hormones enzymes apud system pancreatic fistula intestinal lavage saline solution |
| url | https://www.gastro-j.ru/jour/article/view/1199 |
| work_keys_str_mv | AT yeyeachkasov nutritionalsupportinearlyphasesofacutepancreatitisfashionabletrendandessentialreality AT avpugayev nutritionalsupportinearlyphasesofacutepancreatitisfashionabletrendandessentialreality AT gvdyatchina nutritionalsupportinearlyphasesofacutepancreatitisfashionabletrendandessentialreality AT viposudnevsky nutritionalsupportinearlyphasesofacutepancreatitisfashionabletrendandessentialreality AT zhgnabiyeva nutritionalsupportinearlyphasesofacutepancreatitisfashionabletrendandessentialreality AT pvmelnikov nutritionalsupportinearlyphasesofacutepancreatitisfashionabletrendandessentialreality |